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Regarding pulse rate
I am about to awake I see my hand in wrist see pulse rate is around 125-130 bpm as soon as I open eyes in 30 second it's get normal i don't know how long it stay high as how many hours i feel zero symptoms at all I am feeling this symptoms from 5 hours i don't know how much time in sleep pulse rate increase because I dont feel symptoms at all if in sleep my pulse actually remain 7 hours 130-140 bpm does it has weaken my heart muscle if happen 5 month
Answers (17)
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Sustained tachycardia ( heart rate more than 100) for longer duration of periods is not good. Fever, hyperthyroidism, acute stress, anemia, waking up from sleep can cause increase in heart rate.... But sustained tachycardia is not good.
Get 24 hours holter monitoring test done to know pattern of your heart rate. Sometimes too high heart rate can lead to arrhythmias ( abnormal rate and rhythm of heart). Seek a cardiologist help At the earliest possible.
Next Steps
Get ECG, holter monitoring, TFT, serum electrolytes, CBC. ultrasound abdomen
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Get Holter monitoring done to see actual pattern of your pulse rate.
Get thyroid profile done.
Share results with detailed medical history, then I can guide you better.
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GO FOR ECG OR PUT YOUR SELF UNDER MONITOR FOR SLEEPING PULSE.
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Do consult
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What you are noticing is likely your heart rate at the moment of waking from REM (deep dreaming) sleep â heart rate naturally rises significantly during REM sleep and then drops within seconds of waking, which matches your experience of it normalising in 30 seconds. However, since this has been going on for 5 months and you are worried about sustained high heart rate during sleep, you do need proper evaluation â you cannot know for certain what your heart rate is doing throughout sleep just by checking at the moment of waking. The most important test is a 24-hour Holter monitor, which records your heart rhythm continuously including during sleep and will tell you exactly what is happening. Also get a resting ECG, thyroid profile (TSH, FT3, FT4), CBC for anaemia, and if sustained tachycardia is confirmed on Holter, an echocardiogram to check heart function. A genuinely sustained heart rate of 130â140 bpm for 7 hours nightly over 5 months can eventually affect heart function, so this needs to be confirmed and addressed.
Next Steps
Get a 24-hour Holter monitor test, ECG, thyroid profile, and CBC done urgently and consult a cardiologist with the results. Please consult me directly on Practo for a detailed evaluation.
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Hello. First, please try not to worry too much about this. The fact that your heart rate drops back to normal within just 30 seconds of waking up is actually a good sign.When you wake up, your body releases a natural surge of hormones like cortisol and adrenaline to help you transition from sleep to being awake. This "arousal response" can cause a temporary spike in your pulse.To answer your main concern: a brief spike like this will not weaken your heart muscle. For a heart muscle to weaken (a condition known as tachycardiomyopathy), the pulse typically needs to stay consistently high—well over 100 to 130 bpm—all day and all night for weeks or months at a time. Because yours recover almost immediately, it is highly unlikely to cause any long-term damage.Sometimes, factors like minor dehydration, stress, caffeine late in the day or even vivid dreams right before waking can make this morning spike more noticeable. Since you are not feeling any other symptoms, it is very likely a normal physiological reaction, but it is always smart to get it checked out for peace of mind.
Next Steps
1. Book a routine consultation here in Practo with a general physician/cardiologist to discuss
2.They will likely recommend a standard ECG (electrocardiogram) to check your heart's resting rhythm.
3.If needed, they might suggest a 24-hour Holter monitor, which is a small wearable device that will track your actual heart rate while you sleep so you don't have to guess.
4.Try wearing a standard smartwatch or fitness tracker to bed for a few nights to see what your baseline sleep heart rate actually is,if possible.
Health Tips
1.Keep a glass of water on your bedside table and drink some right before sleep, as overnight dehydration can elevate your pulse.
2.Avoid heavy meals, alcohol, or caffeine within 4 to 5 hours of going to bed.
3.If you ever experience chest pain, severe shortness of breath, dizziness, or feel like you might pass out when waking up, please seek immediate medical attention.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Consult a cardiologist
Do a
CBC
ECG
2d echo
THROID PROFILE and serum electrolyte
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Yes it does, however (this is important) maybe anxiety, nightmares/night terrors can increase the pulse rate whereas sleep reduced the pulse rate. If you are snoring or have OSA pulse rate can be high but not this high. You say your PR comes to normal after sometime so we don't know exactly how long it has been like this. The best investigation I'd suggest is a 24hr ECG holter for recording this thing.
Next Steps
If you have other symptoms like heart throbs (palpitations), lightheadedness (syncope/presyncope), cough on exertion, leg swelling, feeling tired that otherwise you didn't feel. Have Diabetes, Hypertension, Dyslipidemia or any earlier Heart issues, stroke, vision problems, Leg cramps on walking long durations, kidney issues.....Then you must get yourself checked with a proper Medicine specialist.
Health Tips
I definitely can help you or any other doctor you trust you can visit in case any of the above mentioned symptoms start appearing.
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Kindly consult with me on 94 two six 86 seven eight 96 for proper guidance.
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Get ECG done , If possible Holter monitoring
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Go for ecg ,or you can consult directly with general physician.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help u
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Yes, it happens
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